GU-male

Question 1

Is the rectal exam a clean or sterile procedure

Answer 1

Clean

Question 2

What lymph node findings indicate cancer

Answer 2

Hard immobile nodes

Question 3

Normal penile meatus diameter

Answer 3

5mm

Question 4

Hernia exam technique

Answer 4

Cross handed; right hand for pts right side

Question 5

Painful penile vesicles that become ulcerated

Answer 5

Genital herpes (HSV)

Question 6

Sexually transmitted warts on penis, perineum, anal area

Answer 6

Genital warts (condyloma acuminata)

Question 7

Benign umbilicated pearly papular lesions

Answer 7

Molluscum contagiosum (self limiting)

Question 8

Painless papule to painless ulcer

Answer 8

Primary syphllis

Question 9

Purulent urethral discharge w/ associated meatiitis

Answer 9

Gonococcal urethritis

Question 10

Mucopurulent urethral discharge

Answer 10

non-gonococcal urethritis. usually caused by chlamydia

Question 11

idiopathic fibrosis of corpora cavernosa -> penile curvature/painful erection

Answer 11

Peyronie’s disease

Question 12

Firm non-tender nodule/ulcer on penis that doesn’t heal

Answer 12

Carcinoma of penis (more common in uncircumcised males)

Question 13

Palpable as downward impulse in inguinal canal, above inguinal ligament near internal inguinal ring, extends into scrotum

Answer 13

Indirect inguinal hernia

Most common, M=F

Question 14

Anterior buldge, above inguinal ligament rarely into scrotum

Answer 14

direct inguinal hernia (less common, M>40yo)

Question 15

Below inguinal ligament, more lateral than inguinal hernia, never into scrotum

Answer 15

Femoral hernia

least common, F>M

Question 16

Varicose veins of scrotal sac. Associated w/ infertility

Answer 16

Varicocoele

Question 17

Benign non-tender fluid mas in tunica vaginalis of scrotum that transilluminates

Answer 17

Hydrocoele

Question 18

Painless mobile mass above testes, smaller than hydrocoele, may transilluminate

Answer 18

Spermatocoele/epeididymal cyst

Question 19

Testicular pain and swelling due to infection of epididymis, associated w/ UTI/prostate infection

Answer 19

acute epididymitis

Question 20

Testicular pain & swelling due to infection of testis

Answer 20

acute orchitis (complication of mumps/viral infections)

Question 21

Red tender swollen scrotum, may be pulled upwards, intense pain

Answer 21

Testicular torsion (due to twisting of spermatic cord) - surgical emergency

Question 22

Firm painless testicular nodule that doesn’t transilluminate

Answer 22

Testicular tumor

Question 23

Tear in the inside lining of the anal wall, severe pain passing stool +/- bleeding

Answer 23

Anal fissure

Question 24

How is anal fissure diagnosed

Answer 24

Hx and anoscopy

Question 25

What worsens anal fissure

Answer 25

Spasms caused by the pain

Question 26

Soft mass in rectum, difficult to feel with finger

Answer 26

Rectal polyps

• pedunculated
• sessile

Question 27

Firm nodular rolled edge within reach of finger during digital rectal exam

Answer 27

Rectal carcinoma

Question 28

Enlarged tender prostate gland w/ associated fever & chills

Answer 28

Acute/chronic prostatitis (Rx- Abx)

Question 29

Symmetric enlargement of prostate w/ hesitatancy

Answer 29

Benign prostatic hypertrophy (BPH)

Question 30

Enlarged firm irregular nodule on prostate, obscures median sulcus, slow growing

Answer 30

Carcinoma of prostate (metastizies locally to bone)